Andrea Dejacimo, MSSA, LSW

Social Worker · Cortland, OH

Individual Active NPI

NPI number 1194147678

Practice location

724 Lakeview Dr
Cortland, OH 44410-1621
Phone
(330) 883-1563

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NPI record

NPI
1194147678
Entity type
Individual (Type 1)
Enumeration date
January 17, 2014
Last updated
January 17, 2014
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Social Worker Primary 104100000X S.1000821 OH

Mailing address

724 Lakeview Dr.
Cortland, OH 44410
Phone
(330) 883-1563

About Andrea Dejacimo

Andrea Dejacimo, MSSA, LSW is a healthcare provider registered in the NPI registry with the primary taxonomy Social Worker (code 104100000X). The practice location is 724 Lakeview Dr, Cortland, OH 44410-1621. The NPI number 1194147678 was assigned on January 17, 2014 and the record was last updated on January 17, 2014.

Andrea Dejacimo lists a license in the registry: #S.1000821 (OH) for Social Worker. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Andrea Dejacimo, MSSA, LSW?

The NPI number is 1194147678.

What is the phone number of Andrea Dejacimo?

The phone number listed for the practice location is (330) 883-1563.

Where is Andrea Dejacimo located?

724 Lakeview Dr, Cortland, OH 44410-1621.

What is the taxonomy code for Andrea Dejacimo?

The primary taxonomy code is 104100000X – Social Worker.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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